Individual
ERIN ANNE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 KINGSLEY LN STE 400, NORFOLK, VA 23505-4604
(757) 889-5335
Mailing address
100 KINGSLEY LN STE 400, NORFOLK, VA 23505-4604
(757) 889-5335
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110007280
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/18/2020
Last updated
08/19/2020
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